A knife which was embedded into the thoracic cavity: an interesting case

Öz

In this case report we present an alternative intubation method and treatment of a patient who had admitted to the emergency department with a stab wound in his thorax. A 75-year-old man was brought to the emergency department with a knife in the posterior side of the thorax. After the anteroposterior lung x-ray was obtained, endotracheal intubation was done with a single-lumen tube in the right lateral decubitus position and the knife which was penetrated to the thorax was pulled out via a thoracotomy. We suggest that such foreign bodies should be withdrawn out with a controlled manner via sternotomy or thoracotomy.

 Key Words: Penetrating wound, thoracic wall, thoracic surgical procedures, intubation

Torasik kaviteye gömülü bıçak: ilginç bir olgu

Öz

Bu olgu sunumunda delici kesici alet yaralanması nedeniyle acil servise başvuran hastaya uygulanan farklı entübasyon ve tedavi yönetimi anlatılmaktadır. Yetmiş beş yaşında bir erkek hasta sırtına saplı bir bıçakla acil servise getirildi. Hastaya anteroposterior akciğer grafisi çekildikten sonra sağ lateral dekübit pozisyonunda tek lümenli tüple endotrakeal entübasyon yapıldıktan sonra torakotomi yapılarak toraksa invaze olan bıçak çıkartıldı.  Bu tip yabancı cisimlerin sternotomi veya torakotomi yardımı ile kontrollü olarak çıkartılmasını önermekteyiz.

 Anahtar Kelimeler: Penetran yaralanma, göğüs duvarı, torasik cerrahi yöntem, entübasyon

Anahtar Kelimeler

• Penetran yaralanma, göğüs duvarı, torasik cerrahi yöntem, entübasyon

Kaynakça

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3. Zebele C, Gianoli M, Elenbaas T, Brink P, Zundert AA. Unusual case of left chest wound. Asian Cardiovasc Thorac Ann 2011; 19: 349.
4. Laisaar T. Unusual case of self-inflicted thoracic knife wounds with five knives embedded in the left thoracic cavity. Eur J Cardiothorac Surg 2005; 28: 653-4.